| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.88 | $129.88 | $129.88 | |
Aetna
| Professional | $78.05 | $116.18 | $201.27 | |
Cigna
| Professional | $135.78 | $135.78 | $135.78 | |
Emblem Health
| Professional | $279.20 | $348.33 | $465.33 | |
Horizon BCBS
| Professional | $176.87 | $176.87 | $176.87 | |
United
| Professional | $119.39 | $132.65 | $174.88 |